Clinical assessment of urological symptoms in women with pelvic organs prolapse of the 4th stage
Abstract
AIM. The aim of the investigation was to study the character and frequency of lower and upper urinary tract symptoms in patients with pelvic organs prolapse of the 4th stage, as well as to estimate the effectiveness of reconstructive surgery of the pelvis and correction of detected impairments. PATIENTS AND METHODS. 89 women with pelvic organs prolapse of the 4th stage participated in the investigation. RESULTS. All 89 (100%) patients had difficult frequent urination and incomplete emptying of the bladder before the operation. Bilateral ureterohydronephrosis was revealed in 20 (22,5%) of 89 patients. Performed operations provided effective reconstruction of normal anatomy of the pelvic floor and eradicated obstructive symptoms in 86 (96,6%) of 89 patients. In 47 (52,8%) of 89 women urine stress-incontinence developed during the postoperative period. CONCLUSION. Transvaginal operation with the use of mesh endoprostheses results in effective normal anatomy restoration of obstructive symptoms of urination. However the development of urine stress-incontinence in more than half of patients requires methods of prognosing of this complication and reasoning of indications for performing single-stage combined operation.
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For citations:
Mironov V.N. Clinical assessment of urological symptoms in women with pelvic organs prolapse of the 4th stage. Nephrology (Saint-Petersburg). 2014;18(4):62-67. (In Russ.)
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